Archives De Pediatrie最新文献

{"title":"Physiological and cerebral hemodynamic changes during routine nursing procedures for very preterm infants.","authors":"Claire Koenig Zores, Nicolas Mura, Elodie Rabatel, Meggane Melchior, André Dufour, Pierre Kuhn","doi":"10.1016/j.arcped.2024.08.009","DOIUrl":"https://doi.org/10.1016/j.arcped.2024.08.009","url":null,"abstract":"<p><strong>Background: </strong>Care procedures for preterm infants can induce stress that may disrupt homeostasis, possibly altering cerebral perfusion or oxygenation. We evaluated the physiological and cerebral oxygenation changes during the routine care of very preterm infants.</p><p><strong>Methods: </strong>We analyzed the changes in heart and respiratory rates and in systemic and regional cerebral oxygen saturation of 27 very preterm infants, defining three care periods of 5 min each: 30 min before care, 30 min during care, and 30 min after care. Mean maximum and minimum values for each parameter during the defined care periods were compared by analysis of variance (ANOVA) for repeated measures.</p><p><strong>Results: </strong>The mean heart rate was significantly higher during (160 ± 8 bpm) than before and after care (151 ± 21 and 151 ± 6 bpm, respectively). The mean respiratory rate decreased during care and increased afterward: 44 ± 2.2, 40.6 ± 3.2, and 46.7 ± 3.4 cycles/min, respectively (p < 0.05). The mean regional cerebral oxygen and systemic saturation did not vary significantly. Mean minimum and maximum values for each parameter varied during and after care as compared with before care (all p < 0.01). The mean minimum cerebral and systemic saturation was lower after care than before care: 59 ± 8 % versus 63 ± 8 % and 83 ± 3 % versus 90 ± 7 %, respectively (p < 0.05).</p><p><strong>Conclusions: </strong>During routine care procedures for very preterm infants, the change in physiological parameters suggested an autonomic stress reaction. Cerebral desaturation may occur during and after the care of such infants and call for specific attention to better support the physiological and cerebral well-being of these infants during standard care procedures.</p>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From pediatric emergency department to pediatric intensive care unit: a retrospective study in a French Tertiary University hospital.","authors":"Elsa Riche, Aurelie Morand, Sophie Fruscione, Fabrice Michel, Aurelie Boutin, Valerie Bremond, Valerie Arnoux, Philippe Minodier","doi":"10.1016/j.arcped.2024.12.005","DOIUrl":"https://doi.org/10.1016/j.arcped.2024.12.005","url":null,"abstract":"<p><strong>Objective: </strong>The management of a child presenting with a critical medical or surgical condition is a scarce event in the pediatric emergency department (PED). In this one year retrospective study, we have tried to better characterize the profile and care pathway of children who had been transferred to the neonatal or pediatric intensive care or critical care units (PICCU) after a visit to the PED, or died in PED.</p><p><strong>Methods: </strong>Retrospective study of children who has been transferred to PICCU from the two PED of Marseille's University Hospital from the 1^st of January 2022 until the 31^st of December 2022.</p><p><strong>Results: </strong>Among the 82,962 children who consulted the two PED of Marseille's University Hospital in 2022, 260 (0.3 %) were transferred to PICCU or died in PED. The mean age was 42 months. There were 17 % newborns and 12 % infants aged 1 to 3 months old. The main reasons for referral was respiratory troubles (bronchiolitis 27.3 %, asthma 21.9 %), and neurological impairment (14.6 %). Thirty percent of children were previously followed for a chronic illness. In 45 %, a critical intervention was required: non-invasive or controlled ventilation, extracorporeal membrane oxygenation, use of amines and/or blood transfusion, surgery, and/or external cardiac massage. Two children died in the PED and six during the hospitalization. The mean duration of hospitalization in PICCU was 4.2 days.</p><p><strong>Conclusion: </strong>In Marseille, during 2022, the occurrence of a critical child in PED was estimated at one every 300 children. These children were generally young and presented with respiratory or neurological pathologies. Care might require extensive resources or simple surveillance. Mortality was low (2.3 %).</p>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pseudotumoural optic neuritis in myelin oligodendrocyte glycoprotein antibody-associated disease in children: Pseudotumoural optic neuritis in MOG antibody-associated disease.","authors":"Julia Roux, Domitille Bommier-Laur, Mariana Calota, Stéphane Auvin, Kumaran Deiva","doi":"10.1016/j.arcped.2024.11.005","DOIUrl":"https://doi.org/10.1016/j.arcped.2024.11.005","url":null,"abstract":"<p><p>Myelin oligodendrocyte glycoprotein (MOG) antibody-associated disease (MOGAD) is a neuro-inflammatory condition affecting adults and children. The presentations vary and include acute disseminated encephalomyelitis, optic neuritis or transverse myelitis. Optic neuritis associated with anti-MOG antibodies is typically bilateral, anterior and initially severe but usually resolves quickly and completely. Here, we describe 3 children with pseudotumoural optic neuritis associated with anti-MOG antibodies and their outcome. Recognizing these unusual presentations may reduce unnecessary work-ups and improve functional prognosis by implementing rapid and adequate treatment.</p>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food protein induced enterocolitis syndrome: French practices assessment in children.","authors":"Amélie Perriere, Karine Garcette, Nicolas Kalach, Patrick Tounian, Anaïs Lemoine","doi":"10.1016/j.arcped.2024.12.003","DOIUrl":"https://doi.org/10.1016/j.arcped.2024.12.003","url":null,"abstract":"<p><strong>Background: </strong>Food protein-induced enterocolitis syndrome (FPIES) is a specific non IgE-mediated food allergy. The international consensus guidelines defined diagnosis criteria and management plan in 2017.</p><p><strong>Objectives: </strong>To assess practices regarding FPIES in France and in French-speaking countries, according to those guidelines.</p><p><strong>Methods and setting: </strong>We carried out a 22-question online survey to assess practices of specialised physicians (paediatricians, allergists, gastroenterologists, members of 2 French-speaking learning societies and/or working at hospitals in paediatric allergy units) following patients with FPIES between August 2019 and February 2022.</p><p><strong>Results: </strong>We received 92 replies to our survey, mostly from hospital practitioners following less than 10 patients with FPIES. Oral rehydration solution and/or Ondansetron were largely prescribed in the emergency kit (61/72, 84.7 % and 47/72, 65.3 % respectively). 20 practitioners declared never prescribing an emergency kit. There was some confusion when distinguishing between FPIES and an IgE-mediated food allergy, as suggested by the unnecessary prescription of an antihistamine (18/72, 25.0 %) and/or epinephrine (11/72, 15.3 %) in the emergency kit. An explanatory FPIES emergency management letter to physicians in case of allergic reactions was provided in 83.7 % (77/92) of patients. Oral food challenge (OFC) practices varied greatly concerning doses: most respondents used several doses (52/92, 56.5 %) during the same day (33/52, 63.4 %). Eleven responders (12.0 %) used the same protocol as for an IgE-mediated food allergy.</p><p><strong>Conclusion: </strong>Our survey showed that practices of FPIES management in France are generally aligned with the international consensus guidelines. There are still pending issues to be standardised, such as the emergency kit prescription and its contents, as well as OFC management strategies. This work confirms the need for continuous training of physicians regarding FPIES management. Further guidelines are needed to improve standardisation of FPIES management.</p>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early osteopathic manipulative treatment to prevent cranial positional deformities: A randomized controlled trial.","authors":"Catherine Genelot, Valérie Macioce, Héléna Huguet, Inge Harrewijn, Gilles Cambonie, David Dessauge, Thibault Mura, Lionel Moulis, Guillaume Captier","doi":"10.1016/j.arcped.2024.11.003","DOIUrl":"https://doi.org/10.1016/j.arcped.2024.11.003","url":null,"abstract":"<p><strong>Background: </strong>Cranial positional deformities occur frequently in the first months of life.</p><p><strong>Objective: </strong>To evaluate the effectiveness of osteopathic manipulative treatment (OMT) in preventing the onset of positional plagiocephaly and brachycephaly at 4 months in at-risk newborns.</p><p><strong>Methods: </strong>This single-center, randomized, controlled open-label study, with blinded assessment of the endpoints, was carried out at the maternity unit of Montpellier University Hospital (France) between 2019 and 2022. Newborns aged between 3 and 10 days with at least one risk factor for cranial deformity were included and randomized into a group receiving OMT in addition to advice for the prevention of cranial deformities or a group receiving advice alone (standard care). OMT included an osteopathic assessment, osteopathic treatment, and at least one follow-up session. The primary outcome was the occurrence of plagiocephaly (cranial asymmetry index ≥106 %) or brachycephaly (cranial index ≥93 %) at 4 months after birth.</p><p><strong>Results: </strong>The trial terminated early due to enrolment issues (56.1 % of planned recruitment). Among the 101 patients included, 35 in the OMT group and 30 in the control group completed the study and were analyzed. At 4 months, no significant difference was observed in the rates of brachycephaly (relative risk [RR] of the control group vs. OMT: 1.55, 95 % confidence interval [CI]: [0.38, 6.39], p = 0.54), or plagiocephaly (RR=1.64, 95 % CI [0.34, 8.00], p = 0.54). A trend toward more frequent cases of severe brachycephaly or plagiocephaly was observed in the control group (n = 5) compared with the OMT group (n = 1; p = 0.09). No adverse effects were reported.</p><p><strong>Conclusions: </strong>This study did not find any significant effect of OMT on the occurrence of cranial positional deformities. However, recruitment and follow-up difficulties, partly linked to the COVID-19 pandemic, resulted in an underpowered study that does not allow definitive conclusions to be drawn on potential benefits of OMT.</p>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary adrenal insufficiency in children excluding congenital adrenal hyperplasia: insights from 33-year single-center experience in Tunisia.","authors":"Ines Maaloul, Hajer Aloulou, Wissem Bessghaier, Salma Ben Ameur, Imen Chabchoub, Rania Khalfallah, Hassen Kamoun, Yves Morel, Thouraya Kamoun","doi":"10.1016/j.arcped.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.arcped.2024.10.010","url":null,"abstract":"<p><strong>Background: </strong>Primary adrenal insufficiency (PAI) is a rare but potentially life-threatening condition. Congenital adrenal hyperplasia (CAH) is the most common cause of PAI in children. To date, numerous non-CAH causes have been identified through genetic analysis but they remain poorly characterized.</p><p><strong>Objective: </strong>We aimed to describe the clinical presentation, etiology, genetic analysis, and long-term outcome of non-CAH PAI in children.</p><p><strong>Methods: </strong>We retrospectively collected clinical and laboratory data from patients with non-CAH PAI who were followed up during a period of 33 years (1988-2020) at the pediatric department of a university hospital center in southern Tunisia.</p><p><strong>Results: </strong>We identified 52 patients with non-CAH PAI (35 boys and 17 girls). The mean age at diagnosis was 4.8 years (0.05-18.7 years). Hyperpigmentation was the most frequent symptom at diagnosis (92.3%), followed by asthenia (84.6%), weight loss (57.7%), recurrent vomiting (53.8%), and dehydration (42.3%). The most prominent biochemical findings were hyponatremia (60.4%), hypoglycemia (35.4%), and hyperkalemia (16.6%). A total of 21patients (40.4%) presented with adrenal crisis at disease onset. The most common causes of non-CAH PAI were inherited genetic conditions and included Allgrove syndrome (n=15), X-linked adrenoleukodystrophy (n=10), autoimmune polyglandular syndrome (APS) type 2 (n=2), familial glucocorticoid deficiency type 1 (n=1), MCM4 mutation responsible for DNA repair defect (n=1), SF1 deficiency (n=1), APS type 1 (n=1), and autoimmune PAI (n=3). The cause of PAI remained unknown in 34.6% of cases. During follow-up, 24 patients (46.2%) presented with statural growth delay, and eight patients (15.4%) developed obesity.</p><p><strong>Conclusion: </strong>Allgrove syndrome was the most common etiology of non-CAH PAI in our study, followed by X-linked adrenoleukodystrophy. Today, advanced molecular analysis can be useful for diagnostic investigations, especially in patients with no specific diagnostic features.</p>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of professional practices in the use of mexiletine for the management of childhood myotonia in French pediatric neuromuscular centers (MEXI-PEDI survey).","authors":"Sarah Barrière, Véronique Manel, Christine Barnerias, Karim Wahbi, Frédérique Audic, Claude Cances, Mondher Chouchane, Ivana Dabaj, Jean-Baptiste Davion, Isabelle Desguerre, Julien Durigneux, Caroline Espil-Taris, Gaelle Gousse, Cyril Gitiaux, Clémentine Lambert, Cécile Laroche, Vincent Laugel, Anne-Gaelle Le Moing, Yann Pereon, Susana Quijano-Roy, Juliette Ropars, Elisabeth Sarrazin, Benjamin Serrand, Marie Thibaud, Valérie Trommsdorff, Jon Andoni Urtizberea, Catherine Vanhulle, Ulrike Walther-Louvier, Arnaud Isapof, Catherine Sarret","doi":"10.1016/j.arcped.2024.10.009","DOIUrl":"https://doi.org/10.1016/j.arcped.2024.10.009","url":null,"abstract":"<p><strong>Background: </strong>Myotonia is the main feature of both myotonic dystrophy (DM) and non-dystrophic myotonia (NDM). It is felt as stiffness, pain, fatigue, and weakness. In France, mexiletine, a non-selective voltage-gated sodium channel blocker, is approved for the treatment of myotonia in adults with NDM, and it has a temporary recommendation for use in the symptomatic treatment of DM in adults. However, it is not currently licensed for treating myotonia in children due to the lack of studies on its use in pediatrics. This has meant heterogeneous practices in its utilization and has led to prescriber reluctance, which has jeopardized accessibility. We undertook a professional practice survey of French pediatric neuromuscular centers to determine their prescribing habits for mexiletine, assessing indications, doses, efficacy, and tolerance.</p><p><strong>Methods: </strong>One medical pediatric professional from each French pediatric neuromuscular center belonging to the national neuromuscular network (FILNEMUS) was invited to complete an anonymous questionnaire.</p><p><strong>Results: </strong>In total, 34 healthcare professionals responded. Of these, 16 had already treated a child for myotonia with mexiletine. Mexiletine was prescribed in one third of pediatric patients with NDM, but it was used in only 3% of DM type 1 patients and in no DM type 2 patients. Pre-treatment assessment always included a cardiac evaluation; however, the method of introduction (inpatient vs. outpatient basis), dosage adjustment, and efficacy evaluation ranged widely. More than half of the respondents reported a high efficacy of mexiletine in their patients; only three reported moderate adverse events (dyspepsia, loss of appetite, and asthenia).</p><p><strong>Conclusion: </strong>The findings of this first survey on mexiletine for pediatric myotonia in France lend support for the creation of future national guidelines.</p>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intersectoral professionals' understanding of the prevention of sexual violence against children, their role and that of the GP: A study using semi-structured interviews: Prevention of sexual violence against children.","authors":"Marie-Lou Avouac, Rebecca Bonnetain, Sylvie Morel, Delphine Teigné, Nicolas Hommey, Rosalie Rousseau","doi":"10.1016/j.arcped.2024.11.004","DOIUrl":"https://doi.org/10.1016/j.arcped.2024.11.004","url":null,"abstract":"<p><strong>Background: </strong>In 2020, the WHO reported a European prevalence of 9.6 % of sexual abuse among children, and called on every country to improve prevention of such violence.</p><p><strong>Objective: </strong>To explore the understanding of an intersectional sample of professionals of their role and that of the general practitioner (GP) in the primary and secondary prevention of sexual violence against children (SVAC).</p><p><strong>Methods and settings: </strong>This qualitative, exploratory study was conducted in France. It followed COREQ criteria and ethical approval was obtained. Semi-structured interviews were conducted between February and October 2022 with intersectoral professionals involved in the identification and management of SVAC. The analysis was inspired by grounded theory.</p><p><strong>Results: </strong>Thirteen professionals (from the media, healthcare, justice, police, education and social welfare sectors) shared their views regarding SVAC prevention. The notion that SVAC is a societal taboo recurred throughout the study. The content of participants' discussions about prevention could be divided into four categories: (1) Intersectoral professionals' understanding of prevention, prevention means talking about it; (2) Two, contrasting understandings of prevention and roles; (3) Putting primary and secondary SVAC prevention into practice; (4) The GP's role in SVAC prevention. The GP's role in SVAC prevention was perceived to, above all, involve screening and reporting. Primary prevention measures by GPs appeared to be less obvious.</p><p><strong>Discussion: </strong>Our study reinforces the need and usefulness of intersectoral collaboration to improve SVAC prevention. It is in the interests of every professional to be appropriately trained, and to understand the roles of the various stakeholders, in order to work together.</p><p><strong>Conclusion: </strong>While the WHO has called upon the healthcare sector to coordinate intersectoral collaboration for the prevention of SVAC, professionals, (including GPs) must be supported in order to systematically integrate prevention into the monitoring of children.</p>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical, etiological, radiological characteristics and outcomes of a cohort of 23 children with cerebral venous thrombosis in western Algeria.","authors":"Zakaria Zoheir Addou, Soumia Benilha, Dalila Boumendil, Kamel El Halimi","doi":"10.1016/j.arcped.2024.08.010","DOIUrl":"https://doi.org/10.1016/j.arcped.2024.08.010","url":null,"abstract":"<p><strong>Background: </strong>Cerebral venous thrombosis (CVT) is a rare condition in children, and its description remains limited in North Africa. The objective of our study was to describe the clinical, etiological, radiological, therapeutic, and evolutionary characteristics of children with CVT in western Algeria.</p><p><strong>Methods: </strong>This was a retrospective observational study involving children with CVT. The study was conducted at the unit of intensive care of Canastel Children's Hospital and the pediatric intensive care unit (PICU) of Oran Hospital Center (Algeria) from January 2012 to December 2022.</p><p><strong>Results: </strong>A total of 23 children were included in the study, with an average age of 48±57 months. The most frequent clinical signs were fever (61 %), altered consciousness (61 %), seizures (56.6 %), and headaches (36.8 %). The primary risk factors were head and neck infections (36.8 %). Thrombosis mainly affected the transverse sinus (65.2 %), followed by the superior sagittal sinus (39 %). Associated cerebral complications primarily included hemorrhagic lesions (52 %), hydrocephalus (26 %), and venous ischemic infarction (13 %). Overall, 21 % of children with CVT died while 34 % of our cohort had unfavorable outcomes. Predictors of an unfavorable outcome in multivariate analysis were , parenchymal hemorrhage (aOR: 16.04; 95 % CI: 1.28-201.5), and mechanical ventilation (aOR: 10.50; 95 % CI: 1.02-108.6).</p><p><strong>Conclusion: </strong>Due to the nonspecific nature of CVT clinical signs and considering the risk factors, it is essential to perform cerebral imaging to confirm the diagnosis and initiate early and effective treatment aimed at reducing potential neurological sequelae and the risk of death.</p>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring parents' awareness, identification, and communication practices about acquaintance abuse against children in Pakistan.","authors":"Sana Ali, Shazia Hashmat, Saadia Anwar Pasha","doi":"10.1016/j.arcped.2024.11.006","DOIUrl":"https://doi.org/10.1016/j.arcped.2024.11.006","url":null,"abstract":"<p><strong>Background: </strong>Child Sexual Abuse (CSA) is a growing healthcare issue worldwide. However, the acquittance rape is one of the underrepresented phenomena due to certain social and cultural concerns. Consequently, the role of parents is of greater significance to ensure the safety of their children outside and insider of their homes.</p><p><strong>Aims: </strong>This research investigated the parents' awareness, identification, and communication practices about acquaintance rapes against Pakistani children.</p><p><strong>Methods: </strong>Data was gathered from 314 respondents having one or more children below sixteen years of age and further analyzed using Statistical Package for Social Sciences (SPSS).</p><p><strong>Findings: </strong>Results showed that a majority of parents (70 %) were aware of child sexual abuse (CSA), especially acquaintance rape, as a prevalent phenomenon. However, they stayed neutral (50 %) about the possibility of female acquaintances as the possible cause of CSA and male children as victims of sexual abuse. They further reported physical and psychological signs to help identify acquaintance rape among children, with consensus ranging from 50 % to 60 %. Further, they showed different communication approaches, including telling children about CSA (50 %), their private body parts (around 45 %), abstaining from accepting gifts (50 %) and cautioning against going anywhere, even with someone they know (50 %), implying actively educating children about CSA as an effective strategy.</p><p><strong>Conclusions: </strong>Effective communication between parents and children about sexual abuse is critical for deterrence. Continued efforts to challenge stereotypes, promote inclusive attitudes, and encourage comprehensive prevention approaches are important to creating safer environments for children in Pakistani society.</p>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}